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*Required fields are in red

Style#:
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Check If Ordering from Utah
(6.25% Sales Tax)
Regular Order
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PAYMENT SECTION AND AGREEMENT
BETWEEN PURCHASER AND SHIELD CARD AMERICA

This section pertains to your personal payment information.

Purchaser First Name:
Purchaser Last Name:
Purchaser Street Address:
Purchaser Apartment No:
Purchaser City:
Purchaser State:
Purchaser Zip:
Purchaser Business Phone:
Purchaser Business Fax:
Purchaser Cell Phone:
Method of Payment:
Card Type:

Card Number:
Expiration Date:
Base Price
SubTotal
Tax Rate
Tax $
Total Amount of Purchase in U.S. Dollars: $

E-mail Address (Required):


The issuer of my credit card identified above is authorized to pay Shield Card America the amount shown as Total Amount of Purchase in U.S. Dollars, (above) upon proper presentation thereof. I promise to pay such Total Amount of Purchase in U.S. Dollars amount (together with any other charges due thereon) subject to and in accordance with the agreement governing the use of such credit card.
By checking this box I agree with the terms as stated.
Special Instructions (if desired)

By clicking the Submit button you are authorizing us to charge the above credit card.

Note: Your credit card will be charged the full price when we receive your order.
Once you approve your Security & Order VerificationTM form and return the signed approval,
your credit card will be charged for any balances due on your order.


Shipping cost is included in the price listed
For additional iformation, and optional services on your order,
please visit the SCA 5.11 FAQ

©2006-2007 SCA 5.11
P.O. Box 58 Payson, Utah 84651
This page last updated 4/16/2004

New Official Full Line 5.11 Dealer
SCA 5.11TM invites you to place your orders today

Call today at 801-465-4313 or email us


For over 20 years Shield Card AmericaTM (SCA) has brought the highest of quality shield cards to law enforcement.. This same quality of product , with competitive prices, brings to you a new Full-Line Dealership of 511 Tactical gear.










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©2007 SCA 5.11TM